NPI | 1811479793 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL JOHN LYONS Owner 951-536-2213 |
Organization Subpart ? | No |
Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: CA LAADC) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA LAADC) |
324500000X Substance Abuse Rehabilitation Facility (Licence: CA LAADC) | |
Enumeration Date | 2018-09-06 |
Last Update Date | 2018-09-06 |